535 Atlantic Blvd new electrical service permit sJ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
613 9� INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0035
Description: 1200 amps/120-208 volts/3-phase - new electrical service
Estimated Value: 0
Issue Date: 10/18/2017
Expiration Date: 4/16/2018
PROPERTY ADDRESS:
Address: 535 ATLANTIC BLVD
RE Number: 170684 0000
PROPERTY OWNER:
Name: GATE PETROLEUM COMPANY
Address: 9540 SAN JOSE BLVD
JACKSONVILLE, FL 32257
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EAGLE ELECTRIC INC.
Address: 149 South St. Andrews Street
JACKSONVILLE, FL 32254
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 LP P I I—D D
JOB ADDRESS: �IGn LIc.—,R 1.VcQ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS SiReVOLTS � PHASE
Iaa o�'
VALUE OF WORK$
NEW SERVICE ❑ OverheadCIVI
yV Underground ❑1 Underground up Pole
.Residential(Main)Service
0-100 amps : :101-150amps 151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps '101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-I50amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ; 150amps 200amps amps x:CT Service !}b amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _/A 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 1940
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign :Smoke Detectors_Qty :Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) Od
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection 'Panel Change OH to UG
Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. n
Property Owners Name t -Ta.je,:4 r01 ue m C-0• Phone Number go y �1,37 3220
Electrical Company 90�/
p y Eaale_ Elacirtc of c sc�ny� fle Office Phone 90 i/ 7g/a-n'If��Fax �K6-1//87
Co. Address:/ 9 5'f Andrews Skcf-f S, City - Snn�i IIF State Fl— Zip,3aaqq
License Holder (Print): n State Certification/Registration#EC pmg/74/
Notarized Signature of License Holder
DARMM.HERSERTSON Sworn and subscribed before me this 1Rth day of 20 /7
*
MY COMMISSION s 1,240186 (� _ -y�,� �1
EXPIRES:August 1,2919 Signature of Notary Public � A1♦oo�_7 �� 'xl'on
J�'JFOF flo' Bonded TAN Budget Notary Services
Cash ' • Receipt
Receipt Number
•
>. City of Beach R3208
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $427.13
ELPP17-0035 Address: 535 ATLANTIC BLVD APN: 170684 0000 $333.13
ELECTRICAL $325.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW COMMERCIAL 455-0000-322-1000 1200 $270.00
STATE SURCHARGES $8.13
STATE DBPR SURCHARGE 455-0000-208-0600 0 $4.88
STATE DCA SURCHARGE 45500002080700 0 $3.25
TEMP17-0029 Address: 535 ATLANTIC BLVD APN: 170684 0000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
TOTAL PAID BY RECEIPT: 08
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
10/18,12017 15:44:47
CREDIT CARD
VISA SALE
Card XXXXXXXXXXXX1395
SEQ;: 6
Batch;: 465
INVOICE 6
Approval Code: 018395
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $427,13
Date Paid: Wednesday, October 18, 2017
Paid By: EAGLE ELECTRIC INC. CUSTOMER COPY
Cashier: BA
Pay Method: CREDIT CARD 6
/[%
Printed:Wednesday,October 18,2017 3:46 PM 1 of 1